Contract Pharmacy Details

TOPS MARKETS
CH024690 COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Covered Entity Details

Entity Name

COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Subdivision Name

34 Benwood Ave Buffalo, NY 14214

Type

HRSA-Funded Health Center

340B ID

CH024690

Entity Address

34 Benwood
Buffalo, NY 14214-1761

Grant Number

H80CS00157

Participating Start Date

4/1/2003

Last Recertification Date

2/13/2025

Pharmacy Details

Pharmacy Name

TOPS MARKETS

Pharmacy Address

7200 NIAGARA FALLS BLVD.
NIAGARA FALLS, NY 14304

Pharmacy Comments

Contract Details

Approval Date

7/14/2021

Contract Begin Date

10/1/2021

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/8/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

LaVonne Ansari, CEO
(716) 986-9199 Ext: 1002

Contract Pharmacy Representative

Tops Markets, LLC
Edlinda Borrero, Third Party Pharmacy Coordinator
(716) 635-5278

Signed By Date

7/14/2021

340B Drug Pricing Program Database